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STUDENT SUICIDE PREVENTION EMERGENCY REFERRAL FORM GENERAL INFORMATION Student Name:Birth Date:School Name:Grade:Referring Person:Title/Position:Referral Date:Referral Time: NATURE OF REFERRAL Verbal
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How to fill out student suicide prevention emergency

01
Gather all necessary information such as contact details, emergency contacts, and student's information.
02
Assess the situation and determine if immediate action is needed.
03
Contact the appropriate authorities such as school counselors, mental health professionals, or emergency services.
04
Provide support and reassurance to the student in crisis.
05
Follow up with the student and continue to monitor their well-being.

Who needs student suicide prevention emergency?

01
School administrators
02
Teachers
03
Counselors
04
Mental health professionals
05
Students at risk of suicide
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Student suicide prevention emergency is a protocol put in place to address situations where a student is at risk of committing suicide.
School administrators or designated staff members are required to file student suicide prevention emergency.
Student suicide prevention emergency forms can typically be filled out online or submitted in person to school authorities.
The purpose of student suicide prevention emergency is to ensure that at-risk students receive the necessary support and intervention to prevent suicide.
Information such as the student's name, age, grade, reason for concern, and any previous suicide attempts must be reported on student suicide prevention emergency.
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